A nurse is reinforcing teaching with a client prescribed betamethasone for chronic osteoarthritis. Which of the following statements by the client indicates understanding of the teaching?
"I can experience harmless, black-colored stools while taking this medication."
"I will eat a low-potassium diet while taking this medication."
"I will protect my adrenal glands by taking this medication every other day."
"I can achieve the best effectiveness by taking this medication before bedtime."
The Correct Answer is C
Choice A reason: Black-colored stools can indicate gastrointestinal bleeding, which is a potential side effect of corticosteroids like betamethasone. It is not considered harmless and should be reported to the healthcare provider immediately.
Choice B reason: A low-potassium diet is not specifically required for clients taking betamethasone. Corticosteroids can cause potassium loss, so it is important to monitor potassium levels, but not necessarily restrict intake unless directed by the healthcare provider.
Choice C reason: The correct answer is c because taking corticosteroids like betamethasone every other day can help reduce the risk of adrenal suppression, a common side effect of long-term corticosteroid use. This dosing schedule allows the adrenal glands to recover and maintain their function.
Choice D reason: Taking betamethasone before bedtime is not specifically recommended for its effectiveness. The dosing schedule should be based on the healthcare provider's instructions and tailored to the client's condition and response to the medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: While early CPR is crucial, the AED should be attached as soon as it is available to analyze the heart rhythm and provide a shock if needed. Delaying the use of the AED can reduce the chances of successful resuscitation.
Choice B reason: In adults, the carotid pulse is typically checked, not the brachial pulse. The brachial pulse is more commonly assessed in infants.
Choice C reason: The correct answer is c because providing chest compressions at a rate of 100-120 compressions per minute is the recommended rate for effective CPR. High-quality chest compressions are essential for maintaining circulation during cardiac arrest.
Choice D reason: The recommended ratio of chest compressions to rescue breaths is 30:2, not 50:2. Performing 50 compressions before providing rescue breaths is not aligned with current CPR guidelines.
Correct Answer is C
Explanation
Choice A reason: Keeping a tongue stud in during surgery poses a risk of aspiration and is not allowed. All body piercings should be removed before surgery to ensure safety.
Choice B reason: Consuming clear liquids up to the time of surgery is not allowed. Clients are typically required to fast for a certain period before surgery to prevent aspiration during anesthesia.
Choice C reason: The correct answer is c because allowing the client to keep her hearing aids in helps facilitate communication until the last possible moment before surgery. This helps reduce anxiety and ensures the client understands preoperative instructions.
Choice D reason: Taking morning vitamins before surgery is not recommended, as clients are usually required to fast. Medications, including vitamins, should be reviewed and managed by the healthcare provider.
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